Monroe, NC 28112 · CMS Certification Number 340130. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,699 | $102,545 | 5.8× | $11,235 |
| Shoulder replacement | — | — | — | $16,710 |
| Hip replacement after a fracture (DRG 522) | $15,716 | $93,747 | 6.0× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 157 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Atrium Health Union an average of $17,699 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,235 per outpatient case (APC 5115, 106 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,545, 5.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Union West Surgery Center, an orthopedic surgery center 15.8 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $8,893 less than an inpatient stay at Atrium Health Union. Not every patient is a surgery-center candidate.
Medicare paid Atrium Health Union more than 90% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.